Organization
GREENFIELD ASSISTED LIVING OF SPOTSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW PEPONIS (CEO)
(703) 962-9125
Entity
Organization
Contact information
Practice address
9300 ONYX CT, FREDERICKSBURG, VA 22407-9329
(540) 891-5540
Mailing address
125 N WASHINGTON ST, FALLS CHURCH, VA 22046-4515
(703) 962-9125
(703) 237-5609
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
VA
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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